Common Conditions

Vascular Surgery - Erectile Dysfunction

Who are candidates for penile revascularization?

Young men who have ED secondary to traumatic occlusion of the erectile artery(ies) and who have no other vascular risk factors (e.g.,. diabetes, hypertension, hypercholesterolemia, or significant cigarette smoking) represent the ideal patient population for penile vascular surgery. The investigation and preoperative evaluation of these patients are aimed at ensuring 1) normal hormonal status, 2) normal neurologic function, and 3) the documentation of poor blood flow and the absence venous leak. All young patients with a history suggestive of trauma-associated ED (particularly patients who have experienced pelvic fracture or perineal trauma) can be considered candidates for penile vascular surgery.